Exploring the Landscape of International Senior Living Development and ExpansionKelly Singleton Myers | Senior Vice President of Sales Sunrise Senior Living
Care Home Operations in the United Kingdom
bull 114 million 65+
bull 15 million 85+
bull 2 million 75+ living alone
bull 850000 people in the UK living with dementia
bull The number of people +85 is predicted to double by 2040
AgeUK report Later In Life 2016
Care Home Operations in the United Kingdom
Residential Care vs Nursing Registration
bull Both homes provide accommodations meals and personal care
bull Residential Care Homes leverage support from other agencies for emergencies
bull Care Homes with Nursing Registration will always have at least one qualified nurse on duty
Care Home Operations in the United Kingdom
CQC-Care and Quality Commission
bull Inspect care homes across England including residential and nursing homes
bull 22000 total Care Homes
bull The past months ratingsApril 2016
21 Outstanding
852 Good
368 Requires improvement
87 Inadequate
Work Force
National Living Wagebull In a effort to move from a low-
wagehigh-tax environment the mandatory NLW was introduced April 2016
bull Currently set at pound720 - a rise of 50p Thatrsquos a pound910 per annum increase in earnings for a full-time worker on the current NMW
National Nursing Shortagebull Contract Labor
Care Home Operations in the United Kingdom
Care Home Owner Type For-Profit Occupancy
NURSING REGISTRATION CARE
HOMES
RESIDENTIAL CARE HOMES
IN OCCUPANCY BAND IN
OCCUPANCY BAND
Occupancy Rate
95 plus 44 43
90-949 20 23
85-899 11 14
80-849 9 8
75-799 5 5
70-749 3 2
Less than 70 8 5
ALL 100 1000
2000
4000
6000
8000
10000
12000
2006 2007 2008 2009 2010 2022 2012 2013 2014
All owner types Major providers
Source LaingBuisson database
Care Home Operations in the United Kingdom
Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare
Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)
Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd
Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare
Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc
Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care
Hallmark Care Homes Other for-profit providers
Major Providers of For-Profit Care Homes
Source LainBuisson database
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
bull 27 Sunrise Senior Living Communities
bull 15 Gracewell Senior Living Communities
bull 12 Gracewell Communities in development
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
Sunrise Senior Living Customer Profile Gracewell Customer Profile
Sunrise Brand Attributes
The Joy of Every Day
bull Upmarket exclusive elitebull Americanbull Communal spaces
Gracewell Brand Attributes
A New Way to Live Well
bull Modern innovative good value
bull English culturebull Intimate configuration
Operating in the United Kingdom-Sunrise Senior Living
Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip
Care Home Operations in the United Kingdom
bull 114 million 65+
bull 15 million 85+
bull 2 million 75+ living alone
bull 850000 people in the UK living with dementia
bull The number of people +85 is predicted to double by 2040
AgeUK report Later In Life 2016
Care Home Operations in the United Kingdom
Residential Care vs Nursing Registration
bull Both homes provide accommodations meals and personal care
bull Residential Care Homes leverage support from other agencies for emergencies
bull Care Homes with Nursing Registration will always have at least one qualified nurse on duty
Care Home Operations in the United Kingdom
CQC-Care and Quality Commission
bull Inspect care homes across England including residential and nursing homes
bull 22000 total Care Homes
bull The past months ratingsApril 2016
21 Outstanding
852 Good
368 Requires improvement
87 Inadequate
Work Force
National Living Wagebull In a effort to move from a low-
wagehigh-tax environment the mandatory NLW was introduced April 2016
bull Currently set at pound720 - a rise of 50p Thatrsquos a pound910 per annum increase in earnings for a full-time worker on the current NMW
National Nursing Shortagebull Contract Labor
Care Home Operations in the United Kingdom
Care Home Owner Type For-Profit Occupancy
NURSING REGISTRATION CARE
HOMES
RESIDENTIAL CARE HOMES
IN OCCUPANCY BAND IN
OCCUPANCY BAND
Occupancy Rate
95 plus 44 43
90-949 20 23
85-899 11 14
80-849 9 8
75-799 5 5
70-749 3 2
Less than 70 8 5
ALL 100 1000
2000
4000
6000
8000
10000
12000
2006 2007 2008 2009 2010 2022 2012 2013 2014
All owner types Major providers
Source LaingBuisson database
Care Home Operations in the United Kingdom
Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare
Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)
Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd
Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare
Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc
Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care
Hallmark Care Homes Other for-profit providers
Major Providers of For-Profit Care Homes
Source LainBuisson database
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
bull 27 Sunrise Senior Living Communities
bull 15 Gracewell Senior Living Communities
bull 12 Gracewell Communities in development
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
Sunrise Senior Living Customer Profile Gracewell Customer Profile
Sunrise Brand Attributes
The Joy of Every Day
bull Upmarket exclusive elitebull Americanbull Communal spaces
Gracewell Brand Attributes
A New Way to Live Well
bull Modern innovative good value
bull English culturebull Intimate configuration
Operating in the United Kingdom-Sunrise Senior Living
Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip
Care Home Operations in the United Kingdom
Residential Care vs Nursing Registration
bull Both homes provide accommodations meals and personal care
bull Residential Care Homes leverage support from other agencies for emergencies
bull Care Homes with Nursing Registration will always have at least one qualified nurse on duty
Care Home Operations in the United Kingdom
CQC-Care and Quality Commission
bull Inspect care homes across England including residential and nursing homes
bull 22000 total Care Homes
bull The past months ratingsApril 2016
21 Outstanding
852 Good
368 Requires improvement
87 Inadequate
Work Force
National Living Wagebull In a effort to move from a low-
wagehigh-tax environment the mandatory NLW was introduced April 2016
bull Currently set at pound720 - a rise of 50p Thatrsquos a pound910 per annum increase in earnings for a full-time worker on the current NMW
National Nursing Shortagebull Contract Labor
Care Home Operations in the United Kingdom
Care Home Owner Type For-Profit Occupancy
NURSING REGISTRATION CARE
HOMES
RESIDENTIAL CARE HOMES
IN OCCUPANCY BAND IN
OCCUPANCY BAND
Occupancy Rate
95 plus 44 43
90-949 20 23
85-899 11 14
80-849 9 8
75-799 5 5
70-749 3 2
Less than 70 8 5
ALL 100 1000
2000
4000
6000
8000
10000
12000
2006 2007 2008 2009 2010 2022 2012 2013 2014
All owner types Major providers
Source LaingBuisson database
Care Home Operations in the United Kingdom
Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare
Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)
Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd
Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare
Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc
Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care
Hallmark Care Homes Other for-profit providers
Major Providers of For-Profit Care Homes
Source LainBuisson database
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
bull 27 Sunrise Senior Living Communities
bull 15 Gracewell Senior Living Communities
bull 12 Gracewell Communities in development
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
Sunrise Senior Living Customer Profile Gracewell Customer Profile
Sunrise Brand Attributes
The Joy of Every Day
bull Upmarket exclusive elitebull Americanbull Communal spaces
Gracewell Brand Attributes
A New Way to Live Well
bull Modern innovative good value
bull English culturebull Intimate configuration
Operating in the United Kingdom-Sunrise Senior Living
Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip
Care Home Operations in the United Kingdom
CQC-Care and Quality Commission
bull Inspect care homes across England including residential and nursing homes
bull 22000 total Care Homes
bull The past months ratingsApril 2016
21 Outstanding
852 Good
368 Requires improvement
87 Inadequate
Work Force
National Living Wagebull In a effort to move from a low-
wagehigh-tax environment the mandatory NLW was introduced April 2016
bull Currently set at pound720 - a rise of 50p Thatrsquos a pound910 per annum increase in earnings for a full-time worker on the current NMW
National Nursing Shortagebull Contract Labor
Care Home Operations in the United Kingdom
Care Home Owner Type For-Profit Occupancy
NURSING REGISTRATION CARE
HOMES
RESIDENTIAL CARE HOMES
IN OCCUPANCY BAND IN
OCCUPANCY BAND
Occupancy Rate
95 plus 44 43
90-949 20 23
85-899 11 14
80-849 9 8
75-799 5 5
70-749 3 2
Less than 70 8 5
ALL 100 1000
2000
4000
6000
8000
10000
12000
2006 2007 2008 2009 2010 2022 2012 2013 2014
All owner types Major providers
Source LaingBuisson database
Care Home Operations in the United Kingdom
Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare
Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)
Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd
Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare
Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc
Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care
Hallmark Care Homes Other for-profit providers
Major Providers of For-Profit Care Homes
Source LainBuisson database
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
bull 27 Sunrise Senior Living Communities
bull 15 Gracewell Senior Living Communities
bull 12 Gracewell Communities in development
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
Sunrise Senior Living Customer Profile Gracewell Customer Profile
Sunrise Brand Attributes
The Joy of Every Day
bull Upmarket exclusive elitebull Americanbull Communal spaces
Gracewell Brand Attributes
A New Way to Live Well
bull Modern innovative good value
bull English culturebull Intimate configuration
Operating in the United Kingdom-Sunrise Senior Living
Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip
Care Home Operations in the United Kingdom
Care Home Owner Type For-Profit Occupancy
NURSING REGISTRATION CARE
HOMES
RESIDENTIAL CARE HOMES
IN OCCUPANCY BAND IN
OCCUPANCY BAND
Occupancy Rate
95 plus 44 43
90-949 20 23
85-899 11 14
80-849 9 8
75-799 5 5
70-749 3 2
Less than 70 8 5
ALL 100 1000
2000
4000
6000
8000
10000
12000
2006 2007 2008 2009 2010 2022 2012 2013 2014
All owner types Major providers
Source LaingBuisson database
Care Home Operations in the United Kingdom
Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare
Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)
Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd
Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare
Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc
Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care
Hallmark Care Homes Other for-profit providers
Major Providers of For-Profit Care Homes
Source LainBuisson database
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
bull 27 Sunrise Senior Living Communities
bull 15 Gracewell Senior Living Communities
bull 12 Gracewell Communities in development
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
Sunrise Senior Living Customer Profile Gracewell Customer Profile
Sunrise Brand Attributes
The Joy of Every Day
bull Upmarket exclusive elitebull Americanbull Communal spaces
Gracewell Brand Attributes
A New Way to Live Well
bull Modern innovative good value
bull English culturebull Intimate configuration
Operating in the United Kingdom-Sunrise Senior Living
Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip
Care Home Operations in the United Kingdom
Four Seasons Health Care Bupa Care Homes HC-One Ltd (including Meridian Healthcare) Barchester Healthcare
Care UK Orchard Care Homes Runwood Homes Ltd Sunrise Senior Living (including Gracewell)
Avery Healthcare Maria Mallaband Care Group Ltd Caring Homes Healthcare Group Ltd Embrace Group Ltd
Priory Group Ideal Care Homes Group Akari Care Homes Ltd Excelcare
Shaw healthcare (Group) Ltd Countrywide Care Homes Ltd Minster Care Group Life Style Care plc
Leyton Healthcare Group Ltd Bondcare Group Meridian Healthcare New Century Care
Hallmark Care Homes Other for-profit providers
Major Providers of For-Profit Care Homes
Source LainBuisson database
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
bull 27 Sunrise Senior Living Communities
bull 15 Gracewell Senior Living Communities
bull 12 Gracewell Communities in development
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
Sunrise Senior Living Customer Profile Gracewell Customer Profile
Sunrise Brand Attributes
The Joy of Every Day
bull Upmarket exclusive elitebull Americanbull Communal spaces
Gracewell Brand Attributes
A New Way to Live Well
bull Modern innovative good value
bull English culturebull Intimate configuration
Operating in the United Kingdom-Sunrise Senior Living
Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
bull 27 Sunrise Senior Living Communities
bull 15 Gracewell Senior Living Communities
bull 12 Gracewell Communities in development
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
Sunrise Senior Living Customer Profile Gracewell Customer Profile
Sunrise Brand Attributes
The Joy of Every Day
bull Upmarket exclusive elitebull Americanbull Communal spaces
Gracewell Brand Attributes
A New Way to Live Well
bull Modern innovative good value
bull English culturebull Intimate configuration
Operating in the United Kingdom-Sunrise Senior Living
Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip
Sunrise Senior Living and Gracewell Healthcare in the United Kingdom
Sunrise Senior Living Customer Profile Gracewell Customer Profile
Sunrise Brand Attributes
The Joy of Every Day
bull Upmarket exclusive elitebull Americanbull Communal spaces
Gracewell Brand Attributes
A New Way to Live Well
bull Modern innovative good value
bull English culturebull Intimate configuration
Operating in the United Kingdom-Sunrise Senior Living
Itrsquos no surprise that the sales process is largely universal IN the United kingdom Canada and in the United States we use the samehellip